Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy

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Standard

Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. / Bjørndal, Lars; Reit, Claes; Bruun, Gitte Hoffmann; Markvart, Merete; Kjaeldgaard, Marianne; Näsman, Peggy; Thordrup, Marianne; Dige, Irene; Nyvad, Bente; Fransson, Helena; Lager, Anders; Ericson, Dan; Petersson, Kerstin; Olsson, Jadranka; Santimano, Eva M; Wennström, Anette; Winkel, Per; Gluud, Christian.

I: European Journal of Oral Sciences Online, Bind 118, Nr. 3, 01.06.2010, s. 290-7.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Bjørndal, L, Reit, C, Bruun, GH, Markvart, M, Kjaeldgaard, M, Näsman, P, Thordrup, M, Dige, I, Nyvad, B, Fransson, H, Lager, A, Ericson, D, Petersson, K, Olsson, J, Santimano, EM, Wennström, A, Winkel, P & Gluud, C 2010, 'Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy', European Journal of Oral Sciences Online, bind 118, nr. 3, s. 290-7. https://doi.org/10.1111/j.1600-0722.2010.00731.x

APA

Bjørndal, L., Reit, C., Bruun, G. H., Markvart, M., Kjaeldgaard, M., Näsman, P., Thordrup, M., Dige, I., Nyvad, B., Fransson, H., Lager, A., Ericson, D., Petersson, K., Olsson, J., Santimano, E. M., Wennström, A., Winkel, P., & Gluud, C. (2010). Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. European Journal of Oral Sciences Online, 118(3), 290-7. https://doi.org/10.1111/j.1600-0722.2010.00731.x

Vancouver

Bjørndal L, Reit C, Bruun GH, Markvart M, Kjaeldgaard M, Näsman P o.a. Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. European Journal of Oral Sciences Online. 2010 jun. 1;118(3):290-7. https://doi.org/10.1111/j.1600-0722.2010.00731.x

Author

Bjørndal, Lars ; Reit, Claes ; Bruun, Gitte Hoffmann ; Markvart, Merete ; Kjaeldgaard, Marianne ; Näsman, Peggy ; Thordrup, Marianne ; Dige, Irene ; Nyvad, Bente ; Fransson, Helena ; Lager, Anders ; Ericson, Dan ; Petersson, Kerstin ; Olsson, Jadranka ; Santimano, Eva M ; Wennström, Anette ; Winkel, Per ; Gluud, Christian. / Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. I: European Journal of Oral Sciences Online. 2010 ; Bind 118, Nr. 3. s. 290-7.

Bibtex

@article{1cd355f24f9e4f449e7f86adb6c5dbed,
title = "Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy",
abstract = "Less invasive excavation methods have been suggested for deep caries lesions. We tested the effects of stepwise vs. direct complete excavation, 1 yr after the procedure had been carried out, in 314 adults (from six centres) who had received treatment of a tooth with deep caries. The teeth had caries lesions involving 75% or more of the dentin and were centrally randomized to stepwise or direct complete excavation. Stepwise excavation resulted in fewer pulp exposures compared with direct complete excavation [difference: 11.4%, 95% confidence interval (CI) (1.2; 21.3)]. At 1 yr of follow-up, there was a statistically significantly higher success rate with stepwise excavation, with success being defined as an unexposed pulp with sustained pulp vitality without apical radiolucency [difference: 11.7%, 95% CI (0.5; 22.5)]. In a subsequent nested trial, 58 patients with exposed pulps were randomized to direct capping or partial pulpotomy. We found no significant difference in pulp vitality without apical radiolucency between the two capping procedures after more than 1 yr [31.8% and 34.5%; difference: 2.7%, 95% CI (-22.7; 26.6)]. In conclusion, stepwise excavation decreases the risk of pulp exposure compared with direct complete excavation. In view of the poor prognosis of vital pulp treatment, a stepwise excavation approach for managing deep caries lesions is recommended.",
keywords = "Adult, Calcium Hydroxide, Dental Caries, Dental Cavity Lining, Dental Cavity Preparation, Dental Pulp, Dental Pulp Capping, Dental Pulp Exposure, Dental Pulp Test, Dental Restoration, Permanent, Dental Restoration, Temporary, Dentin, Female, Follow-Up Studies, Glass Ionomer Cements, Humans, Male, Middle Aged, Minerals, Periapical Tissue, Pulpotomy, Radiography, Bitewing, Resin Cements, Treatment Outcome",
author = "Lars Bj{\o}rndal and Claes Reit and Bruun, {Gitte Hoffmann} and Merete Markvart and Marianne Kjaeldgaard and Peggy N{\"a}sman and Marianne Thordrup and Irene Dige and Bente Nyvad and Helena Fransson and Anders Lager and Dan Ericson and Kerstin Petersson and Jadranka Olsson and Santimano, {Eva M} and Anette Wennstr{\"o}m and Per Winkel and Christian Gluud",
year = "2010",
month = jun,
day = "1",
doi = "10.1111/j.1600-0722.2010.00731.x",
language = "English",
volume = "118",
pages = "290--7",
journal = "European Journal of Oral Sciences Online",
issn = "1600-0722",
publisher = "Wiley-Blackwell",
number = "3",

}

RIS

TY - JOUR

T1 - Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy

AU - Bjørndal, Lars

AU - Reit, Claes

AU - Bruun, Gitte Hoffmann

AU - Markvart, Merete

AU - Kjaeldgaard, Marianne

AU - Näsman, Peggy

AU - Thordrup, Marianne

AU - Dige, Irene

AU - Nyvad, Bente

AU - Fransson, Helena

AU - Lager, Anders

AU - Ericson, Dan

AU - Petersson, Kerstin

AU - Olsson, Jadranka

AU - Santimano, Eva M

AU - Wennström, Anette

AU - Winkel, Per

AU - Gluud, Christian

PY - 2010/6/1

Y1 - 2010/6/1

N2 - Less invasive excavation methods have been suggested for deep caries lesions. We tested the effects of stepwise vs. direct complete excavation, 1 yr after the procedure had been carried out, in 314 adults (from six centres) who had received treatment of a tooth with deep caries. The teeth had caries lesions involving 75% or more of the dentin and were centrally randomized to stepwise or direct complete excavation. Stepwise excavation resulted in fewer pulp exposures compared with direct complete excavation [difference: 11.4%, 95% confidence interval (CI) (1.2; 21.3)]. At 1 yr of follow-up, there was a statistically significantly higher success rate with stepwise excavation, with success being defined as an unexposed pulp with sustained pulp vitality without apical radiolucency [difference: 11.7%, 95% CI (0.5; 22.5)]. In a subsequent nested trial, 58 patients with exposed pulps were randomized to direct capping or partial pulpotomy. We found no significant difference in pulp vitality without apical radiolucency between the two capping procedures after more than 1 yr [31.8% and 34.5%; difference: 2.7%, 95% CI (-22.7; 26.6)]. In conclusion, stepwise excavation decreases the risk of pulp exposure compared with direct complete excavation. In view of the poor prognosis of vital pulp treatment, a stepwise excavation approach for managing deep caries lesions is recommended.

AB - Less invasive excavation methods have been suggested for deep caries lesions. We tested the effects of stepwise vs. direct complete excavation, 1 yr after the procedure had been carried out, in 314 adults (from six centres) who had received treatment of a tooth with deep caries. The teeth had caries lesions involving 75% or more of the dentin and were centrally randomized to stepwise or direct complete excavation. Stepwise excavation resulted in fewer pulp exposures compared with direct complete excavation [difference: 11.4%, 95% confidence interval (CI) (1.2; 21.3)]. At 1 yr of follow-up, there was a statistically significantly higher success rate with stepwise excavation, with success being defined as an unexposed pulp with sustained pulp vitality without apical radiolucency [difference: 11.7%, 95% CI (0.5; 22.5)]. In a subsequent nested trial, 58 patients with exposed pulps were randomized to direct capping or partial pulpotomy. We found no significant difference in pulp vitality without apical radiolucency between the two capping procedures after more than 1 yr [31.8% and 34.5%; difference: 2.7%, 95% CI (-22.7; 26.6)]. In conclusion, stepwise excavation decreases the risk of pulp exposure compared with direct complete excavation. In view of the poor prognosis of vital pulp treatment, a stepwise excavation approach for managing deep caries lesions is recommended.

KW - Adult

KW - Calcium Hydroxide

KW - Dental Caries

KW - Dental Cavity Lining

KW - Dental Cavity Preparation

KW - Dental Pulp

KW - Dental Pulp Capping

KW - Dental Pulp Exposure

KW - Dental Pulp Test

KW - Dental Restoration, Permanent

KW - Dental Restoration, Temporary

KW - Dentin

KW - Female

KW - Follow-Up Studies

KW - Glass Ionomer Cements

KW - Humans

KW - Male

KW - Middle Aged

KW - Minerals

KW - Periapical Tissue

KW - Pulpotomy

KW - Radiography, Bitewing

KW - Resin Cements

KW - Treatment Outcome

U2 - 10.1111/j.1600-0722.2010.00731.x

DO - 10.1111/j.1600-0722.2010.00731.x

M3 - Journal article

C2 - 20572864

VL - 118

SP - 290

EP - 297

JO - European Journal of Oral Sciences Online

JF - European Journal of Oral Sciences Online

SN - 1600-0722

IS - 3

ER -

ID: 33290833